Generalities
Convulsions. Twitchings. Catching at things in the air or pulling at the clothes. General weakness, with blunted sensibility. Symptoms are generally worse in the evening, and after eating and drinking.
Mind
Raving. Delirium, with restlessness; ludicrous actions; violent biting, striking and rage; constantly clutching with the hands; with foolish laughter; with singing and shouting; with irrational chattering and muttering; with obscene actions; with efforts to remove clothing. Dread of drink. Unconsciousness. Great loquacity.
Head
Aching and confusion of the head, generally with apparent rush of blood. The brain seems to shake about when walking and on stooping. Vertigo, worse when walking, usually with obscured vision.
Eyes
Distorted, squinting. Staring; wild and sparkling, brilliant; rolling about. Red, with dilated pupils. Spasmodic closure of the eyes. Vision dim; double; small objects seem very large; some red. Night blindness.
Ears
Deafness (from paralysis of the nerve).
Nose
Dryness in the nose. Loss of smell (and taste).
Face
Red and hot; swollen. Distorted. Sometimes pale, even bluish; twitching of the facial muscles.
Mouth
Grinding of the teeth, so that they become loose. Tearing toothache in the morning, with rush of blood to the head. Toothache after taking cold, and in the open air. Pulsating toothache. Tongue seems paralyzed; speech is confused, difficult, as well as irrational. General dryness of the mouth and fauces. Frothing from the mouth. Saliva, sometimes bloody, sometimes with salt taste.
Throat
A feeling of constriction, with inability to swallow anything, especially drinks. Spasmodic constriction; spasms renewed on every attempt to swallow liquids.
Stomach
Ravenous hunger, unquenchable thirst, but cannot swallow. Thirst, but drinks little at a time. Drinking causes spasms. Hiccough. Nausea and vomiting. Vomiting of blood or bloody mucus. Retching and vomiting after coughing. Great sensitiveness of the pit of the stomach to touch. Violent cramps in the stomach, (>) for a time by vomiting.
Abdomen
Sensitiveness of the walls of the abdomen, especially when coughing. The abdominal muscles seem strained or bruised. Cutting pains in the lower portion of the abdomen, which is distended.
Stool
Evacuations involuntary, especially during sleep. Diarrhoea; stools yellow, watery, usually without much odor.
Urinary Organs
Prolapsus of the bladder and retention o urine. Involuntary micturition from loss of power of the neck of the bladder.
Sexual Organs
Menstruation suppressed. Spasms precede the menses; labor-like pains, with drawings in the loins.
Clinical. Nymphomania, sometimes most furious. (Apparent nymphomania, especially of puerperal women; seems to be a sort of delirium rather than real sexual desire. The tendency to uncover is most characteristic.).
Respiratory Organs
Cough incessant when lying down, (>) when sitting up; usually dry at night, seeming to be caused by a tickling in the trachea. Cough frequently spasmodic, in short, rapid paroxysms, almost like whooping cough. Voice sometimes rough on account of the collection of a little mucus in the larynx and trachea. Paroxysms of dyspnoea, especially at night on lying; down must jump up.
Neck and Back
Contraction of the muscles of the neck, so that the head is turned obliquely.
Extremities
Tremblings; twitchings, especially of the hands and feet. Convulsive movements with the thumbs closed in the fist. Carphology. Cramps of the posterior parts of the thighs and calves. toes spasmodically flexed by spasms, even when walking.
Skin
Skin usually hot and dry. A scarlet-like rash spreads over the whole body, which becomes purplish. Boils or gangrenous spots. Ulcers bleed and become painful.
Sleep
Sleeplessness all night, with restlessness, twitchings and startings.
Fever
General shivering; coldness predominates. Heat usually localized in the face and head; sweat general sometimes clammy particularly during sleep.